Individual
MS. SHARESE T HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCBA
Contact information
Practice address
10304 EATON PL STE 100, FAIRFAX, VA 22030-2221
(855) 295-3276
(888) 588-2752
Mailing address
790 RIDGE RD, LACKAWANNA, NY 14218-1629
(850) 543-9945
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
0133004166
VA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
06/08/2023
Last updated
09/23/2025
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